Parking Ticket Appeals Summons Number Plate Number Today's Date Your Name Your Address Your Email Your Phone Location of Ticket Date of Ticket Nature of Appeal (be specific) I certify that the above statement is a true and accurate description of the events cited herein. I understand that the making of a false statement is punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law, subject to a punishment of up to one (1) year in jail and /or a $1,000.00 fine. ALL SUPPORTING DOCUMENTATION TO SUBSTANTIATE THIS APPEAL MUST BE INCLUDED HEREIN. FAILURE TO PROVIDE ALL INFORMATION NECESSARY TO SUPPORT YOUR CLAIM SHALL RESULT IN A DENIAL THEREOF. Upload a file if you have completed the pdf offline Signature Date Δ